Prenatal Diagnosis of Laparoschisis : Case Report

Introduction and importance: Laparoschisis is a congenital abdominal wall defect characterized by herniation of abdominal contents through a paraumbilical opening. Early prenatal diagnosis is critical for appropriate counseling, monitoring, and management. We report a case of laparoschisis diagnosed at 11 weeks of gestation in an otherwise healthy patient, confirmed by ultrasonographic and fetopathologic examinations. Case presentation: A 27-year-old gravida 1, para 0 woman underwent routine prenatal ultrasonography at 11 weeks of amenorrhea. High-resolution imaging and Doppler studies confirmed the diagnosis of laparoschisis. Subsequent evaluations included detailed anatomical ultrasonography and post-termination fetopathologic examination. Clinical Discussion: Ultrasonography at 11 weeks revealed a paraumbilical abdominal wall defect with extrusion of bowel loops into the amniotic cavity, consistent with laparoschisis. Amniotic fluid volume and fetal crown-rump length were within normal ranges, with no other anomalies detected. The pregnancy was terminated at 11 weeks following multidisciplinary counseling. Fetopathologic examination corroborated the ultrasonographic findings, confirming isolated laparoschisis with no associated structural abnormalities. Conclusion: Early detection of laparoschisis allows for tailored management strategies, including prenatal monitoring and delivery planning. This case highlights the utility of ultrasonography in diagnosing rare anomalies in the first trimester and the importance of multidisciplinary approaches in decision-making

Case Study Report: Complex Abdominal Surgery in a 45-Year-Old Patient with Acute Abdominal Pain and Peritonitis

This case study presents the successful management of a 45-year-old male patient who underwent emergency abdominal surgery for a perforated appendix leading to acute peritonitis. The case highlights the diagnostic challenges, surgical interventions, and post-operative care necessary to manage such a complex condition. The patient’s clinical presentation included severe abdominal pain, nausea, and fever, which prompted an immediate surgical intervention. The importance of early diagnosis, prompt surgical treatment, and post-operative monitoring for complications are emphasized. This case also discusses the role of perioperative care, including pain management and infection control, and reflects on the lessons learned from managing post-operative complications

Short Communication

Dear Readers, Season’s greetings! This issue includes a selection of original research paper. In addition, we take this opportunity to reflect on and honour the collective contribution made by our author, reviewers, and editorial team throughout the year